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Individuals who suffer from chronic pain often present with significant medical and psychiatric comorbidities that can exacerbate the pain experience and contribute to a further erosion of quality of life and disability. In this current climate of reducing the reliance on opioids or opioid sparing...
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Dr. Mackey describes himself as a physician scientist. Working at the juncture of research and clinical care, he seeks to ensure that research discoveries are informing clinical practice, and that clinical questions are enhancing the impact of research. In this segment he discusses advances in our...
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Percussion and the power of release oriented therapy hasn’t changed since ancient times. Drumming can release tension associated with pain. Andrew Rossetti, of the Mount Sinai Beth Israel Medical Center’s Louis Armstrong Center for Music & Medicine explains…
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Prescribing guidelines are being enshrined in state regulations, and sometimes are elevated in criminal proceedings as “standards of care”, despite lack of evidence that they are helping to alleviate the abuse crisis. Dr. Ziegler discusses intended and unintended consequences, and where we go from...
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Burnout has increased at a disproportionate rate in physicians as compared to the general working population in the US. Dr. Prasad discusses the statistics, the contributing factors, and strategies for prevention that primary care should know about.
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Clinicians have a responsibility to educate and reassure patients who live with pain so they can overcome barriers, such as fear of movement, and re-engage in healthy behaviors. Despite the progressive embrace of a biopsychosocial framework in pain care, most patients conceptualize their persisting...
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Central poststroke pain is a neuropathic pain disorder frequently described as burning pain associated with allodynia and hyperalgesia over affected regions of the body. The underlying mechanisms are not well understood. What causes it and how can practitioners treat it? Dr. Bottros discusses.
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Physical scars have a systemic influence on chronic pain, including postsurgical, back, shoulder, and neuropathic pain. They can initiate and maintain stress on the nervous system, adversely affecting patient quality of life. Kelley Armstrong introduces the concept of scar release therapy and its...
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The shift away from opioid use in medication management for chronic pain has changed the dynamic of opioid prescribing in many ways. Now, more than ever, prescribers are under the microscope regarding selection of opioids and doses as well as clinical documentation and appropriate action based on...
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Frank Ferris, MD, executive director of palliative medicine, research and education at Ohio Health, outlines how the tools of palliative care can advance the cause of managing pain associated with advanced illness.
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